NDC 69918-0720-10
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ARSENIC TRIOXIDE 1 MG/ML IV SOLN
Reported by 32 hospitals in the network under the percent of billed charges methodology.
Based on 600 billing samples across every hospital reporting.
Low
$25
Average
$451
Median
$364
High
$1.3k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 32 hospitals; the 90th percentile is 2.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mercy Health Saint Marys | Grand Rapids, MI | $567 | $627 | $154 | 600 | $427 | $966 |
| 2 | Northwestern Memorial Hospital | Chicago, IL | $444 | $448 | $189 | — | $149 | $635 |
| 3 | Northwestern Lake Forest Hospital | Lake Forest, IL | $289 | $341 | $194 | — | $105 | $635 |
| 4 | Gundersen Luthern Medical Center Inc | La Crosse, WI | $1.3k | $1.2k | $296 | — | $528 | $1.5k |
| 5 | Sanford Fargo Medical Center | Fargo, ND | $427 | $375 | $86 | — | $8 | $450 |
| 6 | Sanford USD Medical Center | Sioux Falls, SD | $661 | $636 | $149 | — | $8 | $777 |
| 7 | Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital | DENVER, CO | $1.3k | $1.3k | $541 | — | $413 | $2.2k |
| 8 | St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital | JUNCTION, CO | $1.1k | $986 | $229 | — | $464 | $1.3k |
| 9 | Henry Ford Health System | Detroit, MI | $400 | $414 | $122 | — | $204 | $680 |
| 10 | Henry Ford Health System | West Bloomfield, MI | $382 | $423 | $146 | — | $204 | $680 |
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